part one

. Is staffing currently adequate at your facility? Why or why not?

• How could you promote changes to ensure staffing becomes or remains adequate? 

Part 2

Review these most common sentinel events in healthcare  TED talk on Transparency, Compassion, and Truth in Medical Errors. (Links to an external site.)

Most Common Healthcare Sentinel Events (2005-2016)

• Wrong patient, wrong site, wrong procedure
• Unintended retention of foreign body
• Delay in treatment
• Suicide
• Operative/postoperative complications
• Fall
• Medication error
• Criminal event
• Perinatal death/injury
• Medical equipment related
  (The Joint Commission, 2018)

 questions, part 2

 What could a risk manager do to prevent or minimize the risk of this sentinel event occurring again?

• If you were the manager supervising the shift on which this event occurred, what would your response have been to the situation?
•  How can you prevent or minimize the risk, and how would you respond should the event occur despite your efforts? In what way might sentinel events and staffing be related?
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